iosr-JDMS   Volume-22 ~ Issue-5 ~ May 2023

Abstract: Introduction Creation of apical plug in blunderbuss apices with repeated intracanal application of calcium hydroxide has been outweighed by MTA due to its sealing ability in the interface and opening of dentinal tubules, through precipitation of hydroxyapatite crystals. Antibacterial property due to its alkaline ph and biocompatibility and its propensity for cementogenesis and osteogenesis, all leads to true apical healing........

[1]. Ingle Bakland-6th edition ;1053-1056
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[4]. Ronan J.R. Delgado, Thaı´s H. Gasparoto, Carla R. Sipert,Claudia R. Pinheiro,Ivaldo G. Moraes, Roberto B. Garcia,Clo´vis M.
Bramante,Ana P. Campanelli,andNorbertiBernardineli, Antimicrobial Effects of Calcium Hydroxide and Chlorhexidine on
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Abstract: Pulp canal calcifications are one of the most commonly observed situations in day to day life endodontics. Most common reasons for these calcifications can be either trauma, chronic caries, pulpal responses to the various restorative procedures etc. These calcifications pose difficulties for negotiation of the apical foramen which can be successfully achieved by newer advancements in endodontics such as Guided endodontics. This is a case presentation of Guided endodontics done in the Department of Conservative Dentistry and Endodontics of Meghna Institute of Dental Sciences, Nizamabad. A patient with symptomatic apical periodontitis with obliterated canal space in retaion to 11 came to the department. The apical foramen was negotiated with the help of Guided Endodontics with CBCT and using guided slots.Obturation was done by gutta-percha and zinc oxide eugenol

Key words: Guided Endodontics, Pulp Canal Calcifications, Pulpal Obliteration.

[1]. Lara-Mendes STO, Barbosa CFM, Machado VC, Santa-Rosa CC. Guided endodontics as an alternative for the treatment of severely calcied root canals. Dental Press Endod. 2019 Jan-Apr;9(1):15-20. DOI: https://doi.org/10.14436/2358-2545.9.1.015-020.oar
[2]. Holcomb, J.B.; Gregory, W.B. Calcific metamorphosis of the pulp: Its incidence and treatment. Oral Surg. Oral Med. Oral Pathol. 1967, 24, 825–830.
[3]. Kaur G, Venkatesh KV, Sihivahanan D. Microguided endodontics: A case report of conservative approach for the management of calcified maxillary lateral incisors. Saudi Endod J 2021;11:266-70
[4]. Zitzmann NU, Krastl G, Hecker H, Walter C, Weiger R. Endodontics or implants? A review of decisive criteria and guidelines for single tooth restorations and full arch reconstructions. Int Endod J. 2009;42:757-74.
[5]. Strbac GD, Schnappauf A, Giannis K, Moritz A, Ulm C. Guided modern endodontic surgery: a novel approach for guided osteotomy and root resection. J Endod. 2017 Mar;43(3):496-501.

Abstract: Granulocytic sarcoma (GS) is a localized infiltrate of immature granulocytes in an extramedullary site. It is generally associated with leukemia. However, it can also occur in other myeloproliferative disorders. While it can impact any part of the body, its manifestation in the oral cavity is rare. This study presents a rare case of GS affecting the oral cavity of a male, 29 years in age and with a history of paresthesia. We performed a segmental mandibulectomy as treatment and then recommended chemotherapy post-histopathological evaluation. The surgical outcomes were satisfactory as the patient remained in remission for 10 months.

Key words: chloroma, granulocytic sarcoma, maxillofacial surgery, myeloid sarcoma, oral surgery

[1]. Bassichis B, McClay J, Wiatrak B. Chloroma of the masseteric muscle. International journal of paediatric otorhinolaryngology. 2000; 53(1): 57-61
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[5]. Edgerton, AE. Chloroma: Report of a case and a review of the literature. Transactions of the American Ophthalmological Society. 1947; 45: 376

Abstract:BACKGROUND: Spinal anesthesia is one of the most widely used regional anesthesia technique, providing adequate sensory as well as motor blockade. Hyperbaric racemic bupivacaine is one of the most frequently used long acting agent for intrathecal anesthesia. But adverse effects like profound myocardial depression and even cardiac arrest can occur after accidental intravascular injection.With the introduction of levobupivacaine, the pure S (-) enantiomer of bupivacaine, a safer alternative to racemic isomer of bupivacaine is available– which has lower cardio and neuro toxic effects.......

[1]. Albright GA. Cardiac arrest following regional anaesthesia with etidocaine or bupivacaine. Anesthesiology1979;51:285-7.
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[3]. Aberg G.Toxicological and local anaesthetic effect of optically active isomers of two local anaesthetic compounds. Acta PharmacolToxicol (Copenh) 1972;31:273-86.
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Abstract: Arthroscopically assisted mini-open repair technique is the gold standard for rotator cuff repair. A prospective study was conducted between January 2020 to December 2021 in the Department of Orthopaedics, Bangabandhu Sheikh Mujib Medical University with one year follow up. A total of 16 patients between 20 to 60 years of age, who had tear in the rotator cuff tendon was treated by arthroscopic assisted mini open rotator cuff repair by the same surgeon. Shoulder function assessments were made with University of California at Los Angeles (UCLA) rating scale and Short Form Health Survey questionnaire (SF-36). Mean age of the 16 patients included was 39.69 ± 11.36 years. Most common.....

Key words: Mini-open, arthroscopic repair, rotator cuff, shoulder

[1]. Gray H, Standring S. Gray's anatomy: the anatomical basis of clinical practice. Churchill Livingstone, 2008.
[2]. Gerber C, Fuchs B, Hodler J: The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am 2000, 82(4):505-515.
[3]. Gazielly DF, Gleyze P, Montagnon C: Functional and anatomical results after rotator cuff repair. Clin Orthop Relat Res 1994,304:43-53.
[4]. Adamson GF, Tibone JE: Ten year assessment of primary rotatorcuff repairs. J Shoulder Elbow Surg 1993, 2:57-63.
[5]. Vikas Sharma, Shailesh V. Udapudi, Somnath T, Sameer Haveri,Mahantesh Y. Patil Assessment of functional outcome of mini-open rotator cuff repair: a hospital based prospective study

Abstract:Background: Intestinal perforation is a frequently encountered surgical emergencypresenting with wide range of symptoms and etiology. Various regional variations are present with regards to etiology. This study was conducted to determine clinical profile of patients with regards to clinical presentation, symptoms, pathological features, operative findings, complication and mortality. Materials and Methods: In this prospective observational....

Key words: Perforation peritonitis, Peptic Ulcer Disease, Non Specific Ileitis

[1]. Hafner J, Tuma F, Hoilat GJ, Marar O. Intestinal Perforation. In: StatPearls [Internet]. StatPearls Publishing; 2022.
[2]. Eid HO, Hefny AF, Joshi S, Abu-Zidan FM. Non-traumatic perforation of the small bowel. Afr Health Sci. 2008;8(1):36–9.
[3]. Gravante G, Yahia S. Medical influences, surgical outcomes: role of common medications on the risk of perforation from untreated diverticular disease. World J Gastroenterol [Internet]. 2013;19(36):5947–52. Available from:
http://dx.doi.org/10.3748/wjg.v19.i36.5947
[4]. Jones MW, Kashyap S, Zabbo CP. Bowel Perforation. StatPearls [Internet] Treasure Island (FL). 2021
[5]. Mahajan G, Kotru M, Sharma R, Sharma S. Usefulness of histopathological examination in nontraumatic perforation of small intestine. J Gastrointest Surg [Internet]. 2011;15(10):1837–41

Abstract: The incidences and prevalence of sutural bones are more common, the formation of sutural bones still unclear but sutural bones were associated with certain genetic syndromes including medical conditions such as osteogenesis imperfecta, cleidocranial dysplasia, craniosynostosis, increased intracranial pressure and hydrocephalus, their association with a number of clinical conditions highlights their importance in medical research. Wormian bones, are small bones found within the sutures or joints between the bones of the skull, the most common location being in lambdoid suture. In our study, we have used total number of 108, unknown sex of dry craniums. All the cranial bones were observed carefully for sutural bones, noted the presence of sutural bones shape, unilateral or bilateral....

Key words: sutural bones, lambdoid suture, pterion and parietal notch, associated clinical conditions

[1]. Ossenberg NS. The influence of artificial cranial deformation on discontinuous morphological traits. American Journal of Physical Anthropology. 1970 Nov;33(3):357-71.
[2]. Ribeiro-Rodrigues, R., Souza-Santos, J., & Pereira-Dos-Santos, J. (2016). Prevalence and morphology of the sutural bones in human skulls. Journal of Anatomy, 228(6), 1041-1046. doi: 10.1111/joa.12480
[3]. Thirunavukkarasu, K., & Boopalan, R. (2015). Association of wormian bones with craniosynostosis. Journal of Craniofacial Surgery, 26(7), e569-e572. doi: 10.1097/SCS.0000000000001881
[4]. Hayashi, T., Ueno, Y., & Tomura, S. (2013). Morphological study of sutural bones by CT scan. Clinical Anatomy, 26(3), 356-363. doi: 10.1002/ca.22225
[5]. Duman, S. B., Ozan, H., Evirgen, S., & Dolanmaz, D. (2007). The relationship between dental anomalies and wormian bones. European Journal of Dentistry, 1(4), 226-230

Abstract: The major area that needs to be streamlined in a hospital is discharge process of patients which is directly related to patients' satisfaction. In addition, a delayed discharge will affect bed-turnover ratio and may lead to increased risk of infections. The process involves coordination and cooperation of many departments of the hospital. The present study was taken up with the objective of understanding the various steps of a discharge process in a teaching hospital, the average time taken for a discharge and to analyze the reasons for delay. The study was done for a period of.....

Key words: KEY WORDS: Discharge Process, Turnaround Time, Bed-Turnover Ratio, Patient Satisfaction

[1]. Shahnawaz Hamid, Farooq A Jan, Haroon Rashid, Humera Irshad, Tufail Ahmad July (2018) . "Study of discharge process of patients admitted in inpatient department of a tertiary care hospital of north India with a special focus on reducing the waiting time" published in International Journal of Medical and Health Research.ISSN:2454-9142.
[2]. Shahnawaz Hamid, Farooq A Jan, Haroon Rashid , Susan Jalali August (2018). "Study of Hospital Discharge Process viz Prescribed NABH Standards" published in International Journal Of Contemporary Medical ResearchISSN:2454-7379.
A. Abiramalakshmi , DR. SN. SoundaraRajan Oct (2017). "A Study On Identification Of Cause Of Delay In Inpatient Discharge And To Increase Patient Satisfaction" published in International Journal of Management Research & Review.ISSN:2249-7196.
[3]. Harmanjotkaur, RoopjotKochar June (2017). "A Study on Discharge Process of Discharged Patients of a Multispecialty Hospital Ludhiana" published in International Journal of Engineering and Management Research.ISSN :2250-0758.
[4]. Senu Thomas, N.JuniorSundresh,S.Kishore Kumar April (2017). "A Comparative Time Motion Study of Patient Discharge Process at Quaternary Hospital" published in Global Journal Of Research Analysis. ISSN NO: 2277-8160.
[5]. Shobitha Sunil, Sarala K.S, R G Shilpa OCT (2016). "Analysis Of Time Taken For The Discharge Process In A Selected Tertiary Care Hospital" published in

Abstract: Peripheral artery disorders and diabetic peripheral neuropathy are microvascular consequences. Additionally, many diabetic patients who are unaware of these issues develop foot ulcers, which in turn trigger gangrene formation and lower extremity amputation. The objective of this study is to study the prevalence of peripheral artery disease in diabetic foot ulcer patients. The secondary objective of this study is to determine the determinants of PAD among diabetic foot ulcer cases.

Key words: Peripheral artery disease, diabetic foot ulcer

[1]. Volmer-Thole M, Lobmann R. Neuropathy and diabetic foot syndrome. Int J Mol Sci. 2016;17:917.
[2]. Assaad-Khalil S, Zaki A, Rehim AA, et al. Prevalence of dia- betic foot disorders and related risk factors among Egyptian subjects with diabetes. Prim Care Diabetes. 2015;9:297-303

Abstract: Background: Denture base acts as main foundation of denture and receives forces then distribute them to supporting structures. Polyamide's demands are high because of its esthetic, good color mimicking gingiva and can be used instead of metal clasp. The main problem of this material is high water sorption, surface roughness, bacterial contamination, color change, and difficulty in polishing. Surface roughness contributes in plaque accumulation, microorganism retention and potentially harm supporting structures of denture. Recently, a modified polyetheretherketone (PEEK) is reported to be used as framework instead of metal framework because of its low surface roughness. The purpose of this literature review is to know the role of PEEK as alternative denture base material in terms of surface roughness....

Key words: denture base, polyamide, PEEK modified with ceramic, surface roughness

[1]. Carr A, Brown D. Mc Cracken's Removable Partial Prosthodontics. 13th ed. Elsevier; 2016. 99–103 p.
[2]. R V, Romesh S. Denture base Materials: Some Relevant Properties and their Determination. Int J Dent Oral Heal. 2016;1(4):2–4.
[3]. Vojdani M, Giti R. Polyamide as a denture base material- a review. J Dent Shiraz Univ Med Sci. 2015;16:1–9.
[4]. Georgiev J, Vlahova A, Kissov H, Aleksandrov S, Kazakova R. Possible Application of Biohpp in Prosthetic Dentistry: a Literature Review. J IMAB - Annu Proceeding (Scientific Pap. 2018;24(1):1896–8.
[5]. Pacurar M, Bechir ES, Suciu M, Bechir A, Biris CI, Mola FC, et al. The benefits of polyether-ether-ketone polymers in partial edentulous patients. Mater Plast. 2016;53(4):657–60.

Abstract: INTRODUCTION: Complications following open mesh hernioplasty are very common. Detailed analysis of etiology, incidence and post operative complications is very important. AIM: To study the short-term postoperative complications following open ventral mesh hernioplasty. OBJECTIVE To determine the association of postoperative complications with various risk factor following open ventral mesh hernioplasty. MATERIALS AND METHOD: Pre operative risk factors were evaluated and complications after open mesh hernioplasty analysed during the post operative stay in hospital. STUDY DESIGN: 65 cases of ventral hernia presented to this institute during 2021 – 2022 were....

Key words: ventral open mesh hernioplasty, risk factors, postoperative complications

[1]. Maingots: Abdominal operations. Vol I Ed. 10th2000
[2]. Junge K, Klinge U, Prescher A, Giboni P, Niewera M, Schumpelick V (2001) Elasticity of the abdominal wall and impact for reparation of incisional hernia using mesh implants. Hernia 5:113-11
[3]. Luijendijk RW, Hop WC, van den Tol MP, de Lange DC,; Mudge M, Hughes LE. Incisional hernia: A 10 year prospective; Rana KV Singh G, Deshpande NA, Bharathan VK, Shridhran S.Postoperative complications of mesh hernioplasty for incisional hernia repair and factors affecting the occurrence of complications . Med J DY Patil Univ 2013;6:25-31.
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Abstract:Tuberculosis and COVID-19 are two serious diseases that primarily affect the lungs. Co-infection TB and SARS-CoV-2 pose a serious risk of COVID-19 with increased mortality. We report the observation of a 28-year-old patient, admitted for febrile miliary assessment, whose PCR revealed co-infection tuberculosis, COVID-19 and enterovirus.

Key words: Co infection, Tuberculosis, COVID19, Miliary

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[5]. Ministère de la santé. REVUE DU PROGRAMME NATIONAL DE LUTTE ANTITUBERCULEUSE ET DEVELOPPEMENT DU PLAN STRATEGIQUE NATIONAL 2024-2030 POUR LA PREVENTION ET LE CONTRÖLE DE LA TUBERCULOSE